Judy Rosser
Lake Worth,FL
Summary
Proven Medical Billing Specialist with a track record of enhancing payment turnaround for Elite GYN Care. Expert in HIPAA compliance and patient billing, adept at resolving denied claims and improving patient account management. Skilled communicator, ensuring clear understanding of complex insurance issues, leading to a positive customer experience and a significant reduction in outstanding balances.
Overview
30
30
years of professional experience
Work History
Medical Billing Specialist
Elite GYN Care
07.1993 - 12.2023
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Located errors and promptly refiled rejected claims.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Identified and resolved patient billing and payment issues.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
- Collected payments and applied to patient accounts.
- Filed and updated patient information and medical records.
- Efficiently processed refunds or adjustments for patients when necessary, ensuring accuracy and compliance with company policies.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
- Pre-certified medical and radiology procedures, surgeries and echocardiograms.
Education
High School Diploma -
Riverdale High School
Jefferson05.1974
Skills
- HIPAA Compliance
- Payment posting
- Claim submission
- Insurance Verification
- Patient Billing
- CPT Knowledge
- Denial Management
- Insurance Billing
- Insurance Claims
- Claims review
- Patient Collections
Timeline
Medical Billing Specialist
Elite GYN Care
07.1993 - 12.2023
High School Diploma -
Riverdale High School
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